Carbuncle in Child
Methicillin-resistant Staphylococcus aureus (MRSA) first emerged as an important nosocomial pathogen in the 1960s. In more recent years, community-acquired outbreaks of MRSA have been described increasingly among prisoners, military recruits, athletes, intravenous (IV) drug users, and men who have sex with men. Community-acquired MRSA (CA-MRSA) has also been identified in otherwise healthy individuals lacking these risk factors. In a recent study of emergency department visits for purulent skin and soft tissue infections, MRSA was identified as the etiologic agent in the majority (59%) of cases. Furthermore, this study determined that 57% of patients with MRSA did not receive the appropriate initial antibiotic therapy.
L02.93 – Carbuncle, unspecified
416893007 – Carbuncle
Differential Diagnosis & Pitfalls
- Dermatophyte infections such as tinea barbae, kerions, or Majocchi granuloma can mimic a carbuncle.
- Actinomycosis typically occurs in the neck region.
- Atypical mycobacteria or sporotrichosis can occur as indurated pustular plaques.
- Inflamed or infected epidermoid cyst
- Medium vessel vasculitides may present with tender nodules; livedo reticularis or livedo racemosa may also be seen.
- Dissecting cellulitis of the scalp
- Acne keloidalis nuchae
- Hidradenitis suppurativa
- Pilonidal abscess
- Intraoral squamous cell carcinoma can mimic a carbuncle and should be considered if not responding to appropriate antibiotic therapy.